CAROLYN L DELOACHE MSN ARNP
NPI 1740253780
Nurse Practitioner - Family in Lake Butler, FL
About Carolyn L Deloache Msn Arnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CAROLYN L DELOACHE MSN ARNP (NPI 1740253780) is an individual family provider in Lake Butler, Florida, licensed in Florida (1699072) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1998).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Carolyn L Deloache Msn Arnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
3Medicare enrollment records show Carolyn Deloache reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Gainesville, FL 32607
- Reassigned Medicare billing, Florida enrollment
- 141 clinicians in this Medicare group
Jacksonville, FL 32204
- Reassigned Medicare billing, Florida enrollment
- 78 clinicians in this Medicare group
Gulf Breeze, FL 32563
- Reassigned Medicare billing, Florida enrollment
- 79 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 32054 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Referred Medical Equipment & Supplies CMS DME claims 5
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LAKE BUTLER, FL 32054
LAKE BUTLER, FL 32054
LAKE BUTLER, FL 32054
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Carolyn Deloache's NPI number?
The NPI number for Carolyn Deloache is 1740253780. It was assigned to this individual provider in the NPPES registry on February 9, 2006.
Where is Carolyn Deloache located?
Carolyn Deloache practices at 850 E Main St, Lake Butler, FL 32054. The listed phone number is (386) 496-2323.
What is Carolyn Deloache's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Carolyn Deloache enrolled in Medicare?
Yes. Carolyn Deloache is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Carolyn Deloache's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Carolyn Deloache reassigns Medicare benefits to 3 organizations: Simedhealth LLC (Gainesville, FL), Emergency Medical Specialists Of Jacksonville (Jacksonville, FL) and Physician Services Group Of Florida, LLC (Gulf Breeze, FL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Carolyn Deloache's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Carolyn Deloache accept?
Health plans from Oscar Health Maintenance Organization of Florida list Carolyn Deloache as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Carolyn Deloache was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Carolyn L Deloache, MSN ARNP · NPI 1740253780
Family physician in Lake Butler, Florida. Individual provider, active in the CMS NPPES registry since February 9, 2006.
## Identity
- **NPI:** 1740253780 (Entity type: Individual)
- **Enumerated:** February 9, 2006
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 1699072 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 850 E MAIN ST, Lake Butler, FL 32054-1353
- **Phone:** (386) 496-2323 · **Fax:** (352) 495-3401
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Simedhealth LLC (NPI 1639680127, Gainesville, FL); Emergency Medical Specialists Of Jacksonville (NPI 1295738367, Jacksonville, FL); Physician Services Group Of Florida, LLC (NPI 1235775396, Gulf Breeze, FL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1998
## Record status
- **NPPES last updated:** July 8, 2007
- **Other identifiers:** Other 59-Q22623 (FL); Medicare ID-Type Unspecified Y050WZ (FL); Medicare UPIN Q22623 (FL)
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Source: [NPI Profile](https://npiprofile.com/npi/1740253780) · Data from the CMS NPPES public registry.